Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $1.57 / $126.01	Facility		$1.57	$1.57	$126.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.57 / $2.27	Professional		$1.51	$1.57	$2.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $5.52 / $11.07	Professional		$2.72	$5.52	$11.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.75 / $45.28 / $60.18	Facility		$38.75	$45.28	$60.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $34.00 / $48.28	Professional		$4.84	$34.00	$48.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $2.17 / $4.86	Facility		$1.57	$2.17	$4.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.14 / $2.14	Professional		$2.14	$2.14	$2.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $2.17 / $5.33	Facility		$1.57	$2.17	$5.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $2.12 / $22.96	Professional		$1.57	$2.12	$22.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $2.17 / $5.33	Facility		$1.57	$2.17	$5.33
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.14 / $2.14	Professional		$2.14	$2.14	$2.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $6.17 / $8.19	Professional		$2.96	$6.17	$8.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5.03 / $5.14 / $90.00	Facility		$5.03	$5.14	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $22.96 / $34.00	Professional		$11.48	$22.96	$34.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.34 / $6.34 / $7.31	Professional		$6.34	$6.34	$7.31
United Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.65 / $3.13	Professional		$1.15	$1.65	$3.13